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1110 Mayport Rd 2013 safety elecCITY OF ATLANTIC BEACH 800 SEMINOLE ROAD ATLANTIC BEACH, FL 32233 INSPECTION PHONE LINE 247-5814 Application Number . . . . . 13-00002439 Date 4/05/13 Property Address . . . . . . 1110 MAYPORT RD Application type description ELECTRIC ONLY Property Zoning . . . . . . . TO BE UPDATED Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc SAFETY INSPECTION ---------------------------------------------------------------------------- Owner Contractor ------------------------ OZI ENTERPRISES LLC ------------------------ BUDNIK AND D ELECTRICIAL CONTR 1858 S THIRD ST 6703 LAURINA PL JACKSONVILLE BEACH FL 32250 JACKSONVILLE FL 32216 (904) 509-7306 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL PERMIT Additional desc . . Permit Fee . . . . 90.00 Plan Check Fee .00 Issue Date . . . . Valuation . . . . 0 Expiration Date . . 10/02/13 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE ELEC DCA SURCHARGE 2.00 STATE ELEC DBPR SURCHARGE 2.00 -------------------------------------------------------------------------- Fee summary Charged Paid Credited -------------------- Due ----------------- Permit Fee Total ---------- 90.00 ---------- 90.00 .00 .00 Plan Check Total .00 .00 .00 .00 Other Fee Total 4.00 4.00 .00 .00 Grand Total 94.00 94.00 .00 .00 PERMIT IS APPROVED ONLY IN ACCORDANCE WITH ALL CITU OF ATLANTIC BEACH ORDINANCES AND THE FLORIDA BUILDING CODES. JOB ADDRESS: _ ELECTRICAL PERMIT APPLICATION CITY OF ATLANTIC BEACH 800 Seminole Rd, Atlantic Beach, FL 32233 0/0 Ph (904) 247-5826 Fax (904) 247-5845 jwtte 1)7a -XP0 & JEA INFORMATION REQUIRED ON ALL PERMITS %(� 9 AMPS NEW SERVICE U Overhead FiResidential (Main) Service 00-100 amps 0101-150amps Commercial (Main) Service Lj0-100 amps ❑ 101-150amps Conductor Type I'Multi-Family (Main) Service 00-100 amps ❑ 101-150amps ❑Temporary Pole ❑ amps TS 3 'PHASE VALUE OF WORK $ Sb ❑ Underground ❑T Underground up Pole ❑ 151-200amps ❑ ❑ 151-200amps 1-1 Size F7151-200amps ❑ amps # of Meters amps OCT Service amps amps # of Unit Meters SERVICE UPGRADE ❑ amps ❑ CT Service amps NEW FEEDER (ADDITIONS, ACCESSORY STRUCTURES, ETC.) ❑ 100 amps ❑ 150amps 0200amps ❑ amps OCT Service amps ADDITIONS, REMODELS, REPAIRS, BUILD -OUTS, ACCESSORY STRUCTURES, ETC. Outlets/Switches: 0-30amps 31-100amps 101-200amps Appliances: 0-30amps 31-100amps 101-200amps A/C Circuits: 0-60amps 61-100amps Heat Circuits: # circuits @ kw Number of Lighting Outlets, Including Fixtures: OTHER ELECTRICAL PROJECTS ❑Swimming Pool ❑ Sign ❑Smoke Detectors _Qty ❑Transformers FIRE ALARM SYSTEM (Requires 3 sets of plans) Qty volts/amps KVA 11 Motors hp VALUE OF WORK $ --4'V6'0 REPAIRS/MISCELLANEOUS 0 /, ❑Replace Burnt/Damaged Meter Can 'Safety Inspection ❑Panel Change DOH to UG E Other: Permit becomes void if work does not commence within a six month period or work is suspended or abandoned for six months. I hereby certify that I have read this application and know the same to be true and correct. All provisions of laws and ordinances governing this work will be complied with whether specified or not. The permit does not give authority to violate the provisions of any other state or local law regulation construction or the performance of construction. Property Owners Name 11no tZ Phone Number Electrical Company Office Phone Co. Address: % 03 /City G?Xir StateF� Zip 3,2 0�,6 License Holder (Print): /yt l j�G(diU I C, State Certification/Registration # c, , 00/ -5-R 39' Notarized Signature of License Holder this s SHIRLEY L7GRAHAMof Notary MY COIAMISSIOD 95M EXPIRES:FebrBonded Thm Notary c Underwriters 20/